Mendig, Sufrey Joy H.

HRN: 27-64-22  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/20/2026
CEFTRIAXONE 1G (VIAL)
03/20/2026
03/27/2026
IV
1g
Q 12H
T/C Acute Appendicitis
Remove - Pending Acceptance
03/20/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/20/2026
03/27/2026
IV
500mg
Q8H
T/C Acute Appendicitis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: